![Disclaimer ,[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-2-2048.jpg?cb=1668647195)
![Why Am I Here? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-3-2048.jpg?cb=1668647195)
![Topics To Be Covered ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-4-2048.jpg?cb=1668647195)
![Prime Directive ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Impact: Security controls in Healthcare IT systems are routinely circumvented Grandison, T., Davis, J. "The Impact of Industry Constraints on Model-Driven Data Disclosure Controls" . The Proceedings of the 1st International Workshop on Model-Based Trustworthy Health Information Systems (MOTHIS). Nashville, Tennessee. Sept 2007. * Source:](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-6-2048.jpg?cb=1668647195)
![Patient Empowerment and Buy-In ,[object Object],[object Object],[object Object],[object Object],Impact: Privacy is complex, interesting, of some concern. ,[object Object],[object Object],[object Object],* Solove, D. “Understanding Privacy" . Harvard University Press. 2009. + Prost, R. C. “Three Concepts of Privacy” , 89 Georgetown Law Journal 2087,2087 (2001). - Westin, A. “Privacy and Freedom” . New York: Atheneum. 1967. ^ Franzen, J. “How to be Alone” . Picador. 2003. # Gotlieb, C. C. “Privacy: A Concept Whose Time Has Come and Gone” . Computers, Surveillance and Privacy , 156. 1996 Sources:](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-7-2048.jpg?cb=1668647195)
![Patient Empowerment and Buy-In & Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Impact: Access Control technology currently ineffective for Patient empowerment and Buy-In.](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-8-2048.jpg?cb=1668647195)
![Patient Empowerment and Buy-In & Healthcare Trends ,[object Object],Observation 1: For the most part, Privacy Incidents seem to be on an upward trajectory. Observation 2: (Technical) Access Control issues have consistently been the top 3 issues. Health Information Privacy Resolutions Source: US Department of Health and Human Services http://www.hhs.gov/ocr/privacy/hipaa/enforcement/data/index.html](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-9-2048.jpg?cb=1668647195)
![What does this all mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Security Researchers need to step it up and to Proceed with Caution.](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-10-2048.jpg?cb=1668647195)
![Where Not To Go ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gartner’s Hype Cycle ,[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-11-2048.jpg?cb=1668647195)
![How to Proceed? ,[object Object],[object Object],[object Object],[object Object],This talk will not present all these concerns in detail. Remember: PROVOKE and PROMOTE THOUGHT Here, I provide clarity on how we got here and present a set of initial gaps.](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-12-2048.jpg?cb=1668647195)
![The Healthcare Operating Environment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This Operating Environment is not specific to only the Healthcare market. It applies to other industries too As researchers, Technology and Social are the most immediate areas of contribution.](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-13-2048.jpg?cb=1668647195)
![Healthcare Technology Cycle (Of Olde) ,[object Object],[object Object],[object Object],[object Object],Has an idea on how to use technology to “improve healthcare” and develops a prototype Hobbyist Research Development Healthcare Company Patient Further refines Productizes Commercializes Sells to Resells to Sells to](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-14-2048.jpg?cb=1668647195)
![So, What’s The Big Problem? And Why Do I Care Again? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Real World The Matrix](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-15-2048.jpg?cb=1668647195)
![Access Control Beliefs in Healthcare ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-16-2048.jpg?cb=1668647195)
![Access Control in Healthcare Realities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-17-2048.jpg?cb=1668647195)
![The Initial Hard Access Control Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-18-2048.jpg?cb=1668647195)
![CONCLUSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-20-2048.jpg?cb=1668647195)
![CALL TO ACTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-21-2048.jpg?cb=1668647195)
![[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](https://image.slidesharecdn.com/sacmat2010-100610160853-phpapp02/75/new-access-models-for-healthcare-22-2048.jpg?cb=1668647195)
New Access Models for Healthcare
Abstract: Currently, there is a convergence of three key factors in the global landscape that creates an opportunity for the research community to make fundamental contributions to improving the quality of life of every single citizen. Conversely, failure to recognize and act on this phenomenon may have disastrous effects on multiple levels. The first factor is the unprecedented focus and willingness to invest in the healthcare industry. The second factor is the fact that the prime directive of the healthcare sector, i.e. nothing interferes with the delivery of care, has ramifications on every aspect of information technology used in this domain. The final factor is the recognition that patient empowerment and buy-in will be critical for the advance of health information technology. These factors highlight the fact that there are inherent assumptions in the existing access models that render them ineffective and not applicable for long term use in the healthcare field. This talk will highlight all these issues and challenge the research community to delve more the industry-specific constraints that require further innovation in the space; possibly necessitating a re-examination of the core assumptions in the field. Bio: Tyrone Grandison is currently the Program Manager for Core Healthcare Services in the Healthcare Transformation group of the IBM Services Research organization (Hawthorne, New York). His immediate interests are in developing innovative solutions for ensuring patient privacy protection and for integrating information from multiple sources to get more complete views of patients to enable better decision making. Prior to this, Tyrone led the Intelligent Information Systems (Quest) team in the Computer Science department at the IBM Almaden Research Center (San Jose, California). The team pioneered research in Relational Database Privacy, Disclosure-Compliant Query Processing for RFID and Mobile Data Networks, Security Exception Handling in Healthcare Information Systems and Large Scale Text Analysis of Online Data. Tyrone is a Distinguished Engineer of the Association of Computing Machinery (ACM), Senior Member of the Institute of Electrical and Electronics Engineers (IEEE) and has been further recognized by the IEEE (2010 Technical Achievement Award), the National Society of Black Engineers (i.e. Pioneer of the Year 2009) and the Black Engineer of the Year Award Board (i.e. Modern Day Technology Leader 2009, Minority in Science Trailblazer 2010). Tyrone received his B.Sc. and M.Sc. degrees from the University of the West Indies, Jamaica in 1997 and 1998, respectively, and a Ph.D. degree from the Imperial College of Science, Technology and Medicine in the United Kingdom. Presented: June 9, 2010
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New Access Models for Healthcare
- 1. New Access Models for Healthcare Tyrone Grandison, PhD Program Manager, Core Healthcare Services, IBM Services Research Keynote – June 9 th , 2010. 15th ACM Symposium on Access Control Models and Technologies (SACMAT) 2010. Pittsburgh, USA.
- 5. Worldwide Health IT Investment North America US ARRA – $20.4B Canada –$3.1B CDN (InfoWay) Asia China – $4.2B Singapore – $1.1B SIN Europe UK – ₤20.4B Middle East Saudi Arabia – $14B Worldwide EMR – $10B in 2010 $30B in 2019 * EMR Adoption US – 10% AUS – 25% UK – 59% CAN – 14% NZ – 52% Additional Opportunities Clinical Decision Intelligence: $75M (2010), $3.1B (2019) Health Analytics: Health analytics: $2.3B, $3.29B (2014) Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014) Source: IBM Global Technology Outlook (Feb 2010) Impact: Healthcare-specific research is on rise
Editor's Notes
- Add non-AC beliefs - HIT will lead to reduced cost, improved QOS - Accountability